How is Obamacare doing?
Yes, it is more popular, but how is it doing?:
Obamacare has continued to devastate the individual health insurance market:
- In March of 2016, there were 20.2 million people covered in the individual health insurance market according to a hard count of state insurance department filings done by Mark Farrah and Associates.
- In March of 2017 that count was down to 17.7 million.
- In March of 2018 the count was 15.7 million–a 22% drop in two years.
This means 4.5 million people lost their individual health insurance in just two years.
Hardest hit are the 40% of middle class individual market consumers who are not eligible for a subsidy.
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In March of 2016 there were 7,520,939 people covered in the off-exchange individual health insurance market where subsidies are not available.
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In March of 2017 5,361,451 were covered.
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In March of 2018 4,004,522 were covered–a 47% drop in two years.
And, the Obamacare subsidies paid to consumers are hardly sustainable.
According to the CBO, the average Medicaid outlay for a non-disabled adult is $4,230–a program that virtually has no premiums and co-pays. But because the risk pool is so bad and therefore expensive in the Obamacare exchanges, the average subsidy cost for taxpayers is $6,300–and that doesn’t include what the consumer pays in premiums and out-of-pocket expenses for Obamacare coverage.
Why has the Obamacare individual market melted-down in these last two years? Because its premiums and deductibles are sky high–for all but the lowest income participants.
In Northern Virginia, for example, the cheapest 2019 Obamacare individual market Silver plan for a family of four (mom and dad age-40) making a subsidy eligible $65,000 a year costs $4,514. That plan has a $6,500 deductible meaning the family would have to spend $11,014 on eligible health care costs before collecting other than nominal first dollar benefits.
That same family, but making too much for a subsidy, as 40% of families do, and a typical family in the affluent Virginia 10th, would have to spend $19,484 in premiums plus a $6,500 deductible, for a total of $25,984 in eligible costs before they would collect any meaningful benefits.
That is from Robert Laszewski, with additional interesting points at the link. Do see my earlier post on what does and does not make sense in Obamacare — the risk pool for the individual market simply isn’t big or robust enough.